Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
ID06455254

A Single-arm, Multicenter Study to Evaluate the Safety and Efficacy of Candonilimab (AK104) Combined With Regorafenib for Third-line Treatment of MSS Colorectal Liver Metastasis

Led by Jin-hong Chen · Updated on 2024-07-30

44

Participants Needed

3

Research Sites

26 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and effectiveness of Candonilimab (AK104) combined with Regorafenib for treating patients with microsatellite stable (MSS) colorectal cancer that has spread to the liver. This study focuses on patients who have not responded to previous second-line treatments. It will also explore biomarkers to better understand how well the treatment works. Participants will receive Candonilimab (AK104), a humanized antibody given by intravenous infusion every two weeks at a dose of 6 mg/kg, along with Regorafenib, an oral drug taken daily at 80 mg for three weeks followed by one week off in each four-week cycle. This is a single-arm, open-label, multicenter study where all participants receive the combination treatment. During the study, participants will have regular assessments including scans to measure tumor response, laboratory tests to monitor organ function, and evaluations for side effects. The main outcome measured is the objective response rate at six months. Other outcomes include disease control, duration of response, progression-free survival at six months, overall survival up to two years, and incidence of adverse events. Participants' involvement will last through treatment and follow-up periods as specified in the protocol.

CONDITIONS

Brief Title

Cadonilimab Combined With Regorafenib as A Third-line Treatment in Patients With MSS CRLM

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age greater than 18 years and less than 75 years
  • ECOG Performance status score of 0 or 1
  • Histologically or cytologically confirmed adenocarcinoma of colon or rectum with liver metastases, with or without extrahepatic metastases
  • At least one measurable lesion according to RECIST version 1.1
  • Progressed or intolerant to prior systemic therapies including fluoropyrimidines, irinotecan, oxaliplatin, bevacizumab, and/or cetuximab/panitumumab (if RAS/RAF wild-type)
  • Known RAS and BRAF status
  • Mismatch repair-proficient (pMMR) / microsatellite stable (MSS) status only
  • Adequate bone marrow, liver, and kidney function based on laboratory tests within 7 days before starting treatment
  • Willingness to use highly effective contraception during the study and for 120 days after last dose if of childbearing potential
  • Negative pregnancy test for females within 3 days prior to first dose
  • Ability to understand and voluntarily sign informed consent
  • No history of allergy to regorafenib, cadonilimab, or their components
Not Eligible

You will not qualify if you...

  • Pregnant or breastfeeding women
  • Previous treatment with third-line regimens such as regorafenib, fruquintinib, trifluridine tipiracil, or immune checkpoint inhibitors including anti-PD-1, anti-PD-L1, anti-CTLA-4, or cellular immunotherapy
  • Active autoimmune disease requiring systemic therapy within past 2 years (replacement therapies excluded)
  • Active or prior history of inflammatory bowel disease (Crohn's disease, ulcerative colitis, chronic diarrhea)
  • Intervention, ablation, or radiotherapy for target lesion within previous 3 months
  • Expected survival less than 3 months
  • Other malignant tumors within 3 years prior to enrollment, except certain cured local tumors
  • Severe psychological or psychiatric disorders
  • History of severe arrhythmia, heart failure, severe lung or kidney disease
  • Concurrent participation in another interventional clinical study
  • Any other clinically significant condition that may affect protocol adherence or consent

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 6 months

Participants receive Cadonilimab intravenously every 2 weeks and take Regorafenib orally daily for 3 weeks followed by 1 week off, as a combined third-line treatment for colorectal liver metastasis.

Biweekly visits for Cadonilimab infusion and regular visits for safety and efficacy assessments

Follow-up

Duration - Up to 2 years

Participants are monitored for safety and overall survival after completing treatment.

Periodic visits for survival status and adverse event monitoring

Trial Site Locations

Total: 3 locations

1

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China, 215006

Actively Recruiting

2

Huashan Hospital

Shanghai, China, 200040

Actively Recruiting

3

Shanghai Tenth People's Hospital

Shanghai, China, 200072

Actively Recruiting

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Research Team

J

Jinhong Chen, M.D

X

Xiangyu Wang, M.D

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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